Medicaid Contraception Workforce Tracker
| State | Year |
| Measure
Select measure: 1. Provider to population ratio (default): number of Medicaid providers of selected services (numerator) per 100,000 Medicaid RH population. 2. % Participating: number of Medicaid providers of selected services (numerator) over the total providers (denominator). Select the providers to include in the denominator below. |
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| Provider Type | ||
|---|---|---|
| Family Medicine | ||
| Internal Medicine |
| Pediatrics |
| OB/GYN |
| Nurse Practitioner |
| Midwife |
| Physician Assistant |
| Service Type Select service(s) of interest. Selecting multiple service types will limit to clinicians who provide all of the selected services (e.g., IUD and implant). | |
| Pill, Patch, and/or Ring | |
| IUD | |
| Implant | |
| County Rank
Select to rank counties nationally or within the state.
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|---|---|
| Nationwide | |
| Within State | |
| National View
Select to display counties or states when viewing the national maps.
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| County | |
| State | |
About the Tracker
The Medicaid Contraception Workforce Tracker is an interactive map that lets you examine and visualize the workforce providing contraception care to individuals enrolled in Medicaid. The Tracker uses:
- Transformed Medicaid Statistical Information System (T-MSIS) to identify clinicians who provided contraception care to Medicaid beneficiaries each year. T-MSIS collects Medicaid and Children’s Health Insurance Program (CHIP) data from U.S. states, territories, and D.C., including fee-for-service and managed care plan data.
- National Plan & Provider Enumeration System (NPPES) to identify clinician profession/specialty and non-Medicaid providers.
Use the Medicaid Contraception Workforce Tracker to:
- Study the county- and state-level contraception workforce. In 2020, while all states* had at least one clinician providing IUDs to Medicaid beneficiaries, 41% of counties had no IUD providers.
- Analyze differences in service provision by specialty. In 2020, 86% of counties* had more nurse practitioners than OBGYNs prescribing contraception.
- Request the data. If you would like access to the database for your own analysis, please submit a request.
* In states with acceptable data quality.
Data Quality Limitations
- While T-MSIS is the most comprehensive national Medicaid database, it has known data quality (DQ) challenges, including those identified by CMS in the DQ Atlas, such as claims with missing NPI. When possible, we use the Annual Provider (APR) file to link unique state provider IDs to NPIs to improve DQ.
- We also created our own proprietary measure of DQ for each state’s contraception provision by year. States are considered states with DQ issues if they have (1) at least 20% of claims with missing individual NPIs; and if not, then (2) at least 20% change in providers from one year to the next. For example, Ohio is considered to be a state with DQ issues in 2018 for IUD due to percent change in providers in 2018 (# of providers in 2016: 1,423; 2017: 1,512; 2018: 675; 2019: 1,607; 2020: 1,638).
- States with data quality issues are presented in gray in the Tracker and excluded from state and county rankings. For more details, see Data & Methods.
Resources
Recommended Citation: Luo Q, Park YH, Gorak T, Luckenbill S, Webster K, Strasser J. Medicaid Contraception Workforce Tracker. Fitzhugh Mullan Institute for Health Workforce Equity. Washington, DC: George Washington University, 2025. www.gwhwi.org/medicaid-tracker-contraception-workforce.html